Active NPI
Maho Gullo
- Nephrology Physician
- Watertown, MA
National Provider Identifier
1134085939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 3019715
- Practice address
- 130 Arsenal St Unit 1105
Watertown, MA 02472-2932 - Phone
- (617) 820-7544
- NPI assigned
- Dec 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 3019715 | MA | Primary |
Addresses
Primary practice location
130 Arsenal St Unit 1105
Watertown, MA 02472-2932
Mailing address
130 Arsenal St Unit 1105
Watertown, MA 02472-2932
Phone (617) 820-7544
Other names 1
- Maho Terashita
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3019715 | MA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766620800000",
"number": "1134085939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ARSENAL ST UNIT 1105",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722932",
"telephone_number": "617-820-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ARSENAL ST UNIT 1105",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722932",
"telephone_number": "617-820-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLO",
"first_name": "MAHO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-25",
"last_updated": "2025-12-25",
"certification_date": "2025-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "3019715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAHO",
"last_name": "TERASHITA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.